Nurse experience and education - Effect on quality of care
Nurse experience and education - Effect on quality of care
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DOI：
10.1097/00005110-200101000-00007
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发表时间：
2001-01-01
影响因子：
2
通讯作者：
Goode, CJ
中科院分区：
文献类型：
--
作者：
Blegen, MA;Vaughn, TE;Goode, CJ
目的：描述病人护理质量与护士的教育和经验之间的关系。背景：有一个呼吁更多的护士学士学位和更有经验的护士在医院工作。以前的研究已经检查了特点，能力和工作分配的护士和没有学士学位，但没有检查病人护理的质量。人们普遍认为，更有经验的护士提供更高质量的护理，但又很少有研究实际上研究了这个issue.Methods：二次分析的数据，收集在两个以前的研究之间的关系，护士的工作人员（小时的护理，工作人员的组合）和病人的护理质量，被用来确定护士的教育和经验之间的关系和提供的护理质量。在患者护理单位水平收集数据（研究1中42个单位，研究2中39个单位）。护理质量表明较低的单位率的用药错误和病人福尔斯falls.Results：控制病人的病情，护理小时数，和工作人员的组合，单位有更有经验的护士有较低的用药错误和较低的病人跌倒率。这些不良事件的发生率单位更多的学士学位准备的护士没有显着更好。
Objective: To describe the relationships between the quality of patient care and the education and experience of the nurses providing that care.Background: There is a call for more nurses with baccalaureate degrees and more experienced nurses to work in hospitals. Previous research studies have examined the characteristics, abilities, and work assignments of nurses with and without baccalaureate degrees but have not examined the quality of the patient care delivered. It is generally believed that more experienced nurses provide higher-quality care, but again few studies have actually examined this issue.Methods: A secondary analysis of data, collected in two previous studies of the relationship between nurse staffing (hours of care, staff mix) and the quality of patient care, was used to determine the relationship between nurses' education and experience and the quality of care provided. The data were collected at the patient care unit level (42 units in study 1 and 39 units in study 2). Quality of care was indicated by lower unit rates of medication errors and patient falls.Results: Controlling for patient acuity, hours of nursing care, and staff mix, units with more experienced nurses had lower medication errors and lower patient fall rates. These adverse occurrence rates on units with more baccalaureate-prepared nurses were not significantly better.